Weight loss surgery is something that many people talk about but it frequently misunderstood, Lap Band surgery NJ can help you understand what’s best for you. There are three common methods, the most invasive is the Roux-en-y gastric bypass that staples part of the stomach and then reduces the length of the intestine; the gastric sleeve permanently reduces the size of the stomach while the least invasive option is the adjustable gastric sleeve, which is fitted in a few hours and usually only requires a hospital stay of one or two nights.
After six weeks the patient will have almost fully recovered from the surgery and should be able to eat normally or with just a few restrictions. During the post-operative period restrictions are placed on diet, during the first few days only liquid foods are allowed while the stomach is settling down, then soft foods are added for a couple of weeks and in weeks three and four more solid foods are phased in. By week five only a few restrictions remain, although there are also guidelines on nutrition that should be followed to maximize weight loss, a dietitian will advise before the procedure in more detail.
Losing weight during the recovery period can be variable and depends on the foods eaten. In addition to this as the band has not been filled the patient’s appetite is likely to increase to close to the pre-operative state, which could make the patient believe that it is ineffective.
Once things have settled down the patient needs to return to the hospital for a fill. This is a relatively simple procedure where the surgeon injects saline through a syringe into a port located just under the skin. Saline, or a thicker liquid, is injected into the port which inflates the band tightening its grip around the stomach. Over the first year a number of adjustments are needed but over time these become much less frequent.
Through regular checks the volume of liquid is adjusted until an optimum point is discovered. This is the point where food is held up in the upper 10% of the stomach long enough to substantially reduce appetite. If it is too loose then appetite will not be substantially reduced, if it’s too tight then it may become impossible to swallow anything.
Unlike the other procedures it is totally reversible and when removed the digestive system quickly recovers to its original state, the operation does not involve the removal of any healthy tissue or the permanent stapling.
Morbidly overweight people with a BMI of 35-40 are most likely to be recommended for lap band surgery. Those with a slightly lower BMI may be considered if they have a co-morbidities. Many patients achieve two thirds of their desired weight loss over the first two years.
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